Thrombectomy/inf pq dialysis circuit w/pta at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$5,741.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$23,663.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,948.58 with Horizon Blue Cross Blue Shield of New Jersey vs $27,633.25 with Emblem Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1,948.58 | ↓ -66% |
| United Healthcare | Community Plan | $3,213.43 | ↓ -44% |
| Aetna | Better Health | $3,518.68 | ↓ -39% |
| Fidelis Care | NJ Family Care | $3,786.08 | ↓ -34% |
| Wellpoint | NJ Family Care | $3,787.13 | ↓ -34% |
| Amerihealth | Local Value | $8,279.68 | ↑ +44% |
| Aetna | PPO | $9,614.00 | ↑ +67% |
| Aetna | HMO | $9,614.00 | ↑ +67% |
| United Healthcare | Oxford Metro | $10,187.00 | ↑ +77% |
| United Healthcare | Nexus | $10,756.00 | ↑ +87% |
| Amerihealth | Regional Preferred | $11,348.77 | ↑ +98% |
| United Healthcare | Oxford Commercial | $11,985.00 | ↑ +109% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $12,470.40 | ↑ +117% |
| United Healthcare | Commercial | $12,654.00 | ↑ +120% |
| Aetna | Medicare | $13,158.69 | ↑ +129% |
| Humana | Medicare | $13,158.69 | ↑ +129% |
| Fidelis Care | Medicare Advantage | $13,158.69 | ↑ +129% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $13,158.69 | ↑ +129% |
| Wellpoint | Medicare Advantage | $13,158.69 | ↑ +129% |
| Clover Health | Medicare Advantage | $13,158.69 | ↑ +129% |
| United Healthcare | Medicare | $13,421.86 | ↑ +134% |
| First Health | Commercial | $14,197.80 | ↑ +147% |
| Cigna | HMO | $14,209.63 | ↑ +148% |
| Cigna | PPO | $14,966.84 | ↑ +161% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $17,176.97 | ↑ +199% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $17,867.93 | ↑ +211% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $18,130.59 | ↑ +216% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $18,300.96 | ↑ +219% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $19,687.61 | ↑ +243% |
| Wellcare | Ambetter Health Commercial | $26,185.79 | ↑ +356% |
| Emblem Health | Commercial | $27,633.25 | ↑ +381% |
| Qualcare Inc | PPO | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Qualcare Inc | WC | not published by hospital | — |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $1,163.11 – $24,787.76 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $1,948.58 – $25,446.42 |
| Community Medical Center | Toms River | $3,786.00 | $1,948.58 – $24,663.82 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $1,948.58 – $25,319.19 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $1,197.32 – $25,446.42 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $1,505.20 – $26,577.13 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $1,948.58 – $24,979.32 |
| Bayshore Medical Center | Holmdel | $12,552.42 | $12,552.42 – $15,062.91 |